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sledogg1

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    amherst, nova scotia
  1. Thats where I did my hospital time when I went though EMT-P school at Davenport University in 95-96........wow.....glad that eneryone is ok.
  2. Sounds good but ouch when it to tax time.......3 wks on 3 wks off or go as a casual on a call basis. Why leave the rock, things are inproving slowly. Bunch of us Nova Scotia CCP'S are turning things around. Say hi to Cory Banks from Sledogg next time u see him.
  3. All I have to say is WOW! Now from what i have been thought and follow is treat the pt not the machine. He is having c/p simular to previous M.I's, and has an extensive cardiac hx, for the love of god treat it. As for the absence of elevation in the 12 lead, I would agree with possibility of non-stemi mi. The only reliable way to rule out an MI is through labs. I agree, listen to your pt. He is probably on blood thinners so ASA is not a big deal if not sure give it to him unless other contraindications. Give Nitro, DO A 12 LEAD, has he gone into CHF or cardiogenic shock call ALS so next steps can be done if needed......m/s salbutomol, lasix TNK. Sounds like lazziness
  4. Here in Nova Scotia, we don't have pumps on board but if it goes out on a pump it stays on a pump. its goes to the ALS Crew, PCP'S can manage a NACL on a pump but the rest to ACP'S. We do alot of antibotics, panto etc from rural hospitals,
  5. sledogg1

    Neuro Pt

    With her age and mental stability........did overdose come in mind. SynthroidOverdosage & Contraindicationsfont sizeAAAOVERDOSE The signs and symptoms of overdosage are those of hyperthyroidism (see PRECAUTIONS and ADVERSE REACTIONS). In addition, confusion and disorientation may occur. Cerebral embolism, shock, coma, and death have been reported. Seizures have occurred in a child ingesting 18 mg of levothyroxine. Symptoms may not necessarily be evident or may not appear until several days after ingestion of levothyroxine sodium. Treatment of Overdosage Levothyroxine sodium should be reduced in dose or temporarily discontinued if signs or symptoms of overdosage occur. Acute Massive Overdosage – This may be a life-threatening emergency, therefore, symptomatic and supportive therapy should be instituted immediately. If not contraindicated (e.g., by seizures, coma, or loss of the gag reflex), the stomach should be emptied by emesis or gastric lavage to decrease gastrointestinal absorption. Activated charcoal or cholestyramine may also be used to decrease absorption. Central and peripheral increased sympathetic activity may be treated by administering β-receptor antagonists, e.g., propranolol, provided there are no medical contraindications to their use. Provide respiratory support as needed; control congestive heart failure and arrhythmia; control fever, hypoglycemia, and fluid loss as necessary. Large doses of antithyroid drugs (e.g., methimazole or propylthiouracil) followed in one to two hours by large doses of iodine may be given to inhibit synthesis and release of thyroid hormones. Glucocorticoids may be given to inhibit the conversion of T4 to T3. Plasmapheresis, charcoal hemoperfusion and exchange transfusion have been reserved for cases in which continued clinical deterioration occurs despite conventional therapy. Because T4 is highly protein bound, very little drug will be removed by dialysis. CONTRAINDICATIONS Levothyroxine is contraindicated in patients with untreated subclinical (suppressed serum TSH level with normal T3 and T4 levels) or overt thyrotoxicosis of any etiology and in patients with acute myocardial infarction. Levothyroxine is contraindicated in patients with uncorrected adrenal insufficiency since thyroid hormones may precipitate an acute adrenal crisis by increasing the metabolic clearance of glucocorticoids (see PRECAUTIONS). SYNTHROID is contraindicated in patients with hypersensitivity to any of the inactive ingredients in SYNTHROID tablets (See DESCRIPTION, Inactive Ingredients).
  6. What kind of moron puts another country's leader as his avatar? Dust is being mean again............lol $23.85 now step 4 $24.?? step 5 April 08
  7. sledogg1 wrote: Still like the 1 that I stopped at a mvc motorcycle out of province where the medic were ass's (BLS) and pushed me aside and i offered ALS support iv. ett i said tramatic cx trauma I got we got it.......till they lifted back the sheet and this heart lungs were looking back and the cocky medic passed out........so he went in the 2 nd rig and I came the primary medic. So stop and assist but stay in your scope. Again, a tremendous story there. I thought I had read something similar before... http://www.emtcity.com/phpBB2/viewtopic.ph...sc&start=30 sledogg1 wrote: Stopped at a mvc motorcycle saw the pt with two ladies, asked if they needed help, I am a Paramedic ACP they said "no they are RN's " Noticed the pt was on his stomach ,heard snorring respirations!!!!!!!!!!! I Went down and told them they must gain airway control HE'S BREATHING THEY SAID I said thankyou for your help, I now need Your assistance. With all the c spine logged rolled and his helmet was chacked in half beside him ................rn's nicely removed it before I arrived, he had massive head trauma. Had my wife get my medical kit out the back as we where heading back from Sudbury Ont and suctioned him Airway was contolled, did abc's proceeded to remove clothing noticed a Hells Angles tat and patch GREAT he had 2 femur fx, 2 radial/ulner fx and when I opened the shirt 1 Rn passed out there was 2 lungs and a heart doing a bradycardic beat........his ribs were sticking lt/rt. Covered the cx the ambulace arrived I had 2 14g IV's in and they where BLS. THE LOOK OF HORROR ON THERE FACES I had my ACP TAG with me and went with them,intubated and he coded in hospital. Yes it is nerdy to have a kit with you if you use it be prepared to go, have your tag with you, but the hospital was impressed with our scope of practice.....got a thankyou from the Hells Angles and the RN woke up after her friend pulled her out of the bullrushes. Looks like some of the details of the story changed, maybe you just forgot. I'm sure it still happened... You also never answered any of the questions that I posted regarding your ability to practice in Ontario on that call. Maybe you can answer them now in this thread. Back to top Well I wanted it to be a quick version........It was in Northern New Brunswick coming back from Ontario. I am covered by our Medical Director and personal insurance to assist in these situations. I mean't RN not medic typo.........
  8. Good Samaritan does not apply for a trained medic, you can get nailed if found out you did not stop..........and how can you sleep that night if u passed an MVC and did not assist. Do your 1st aider stuff and that is it till you are trained. Keep the glucometer and b/p cuff at home till u get the diploma.........remember radial and carodic pulses tell you alot. Still like the 1 that I stopped at a mvc motorcycle out of province where the medic were ass's (BLS) and pushed me aside and i offered ALS support iv. ett i said tramatic cx trauma I got we got it.......till they lifted back the sheet and this heart lungs were looking back and the cocky medic passed out........so he went in the 2 nd rig and I came the primary medic. So stop and assist but stay in your scope.
  9. You did that rt thing, you did not abandon anyone cause a medic was on scene with same qualifications..........but could you met up with the ALS for a ALS intercept and let the ALS jump into the bls rig and continue on ??? and the bls unit head back to the scene?? Not saying you are wrong but suggesting. Do u have aircare?? How did the pt do at the end?
  10. Hay Dust, long time no chat.....................as Connie mentioned earlier our policy/protocal does not include this, look but don't manual dilate. Trained in class and rotation as the EMT-P, ACP scope but not allowed on the rig like catherazion....... in breech though allowed to if head does not deliver 2-3 min place gloved hand -figers in a v position over baby's face and push vagina away.
  11. In 18 - 19 yrs doing this and delivered 5 , I have never inserted fingers for a dilation check. Believe me you know, if she not a crowing don't go a measuring!!!!!!!!!! With ambulance chasing lawyers out there, you don't have a leg to stand on. Yes, we are trained in school and rotations but really..........do u want to go there.
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